Evidence map›Paper›PMID 32216829›Full record

Trial reportArthritis research & therapy2020

Comparative clinical efficacy and safety of the proposed biosimilar ABP 710 with infliximab reference product in patients with rheumatoid arthritis.

Mark C Genovese, Juan Sanchez-Burson, MyungShin Oh, Eva Balazs, Jeffrey Neal, Andrea Everding, Tomas Hala, Rafal Wojciechowski, Gary Fanjiang, Stanley Cohen

Registry-linked trialAbstract readClinical Trial, Phase IIIComparative StudyMulticenter Study
In one paragraph

Trial report in Arthritis research & therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02937701 (A Randomized, Double-Blind Phase 3 Study to Assess the Efficacy and Safety of ABP 710 Compared to Infliximab in Subjects With Moderate to Severe Rheumatoid Arthritis), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02937701 phase3completednot on this map

A Randomized, Double-Blind Phase 3 Study to Assess the Efficacy and Safety of ABP 710 Compared to Infliximab in Subjects With Moderate to Severe Rheumatoid Arthritis

TypeinterventionalSponsorAmgenRan2016 to 2018Enrolled558ConditionsArthritis, RheumatoidArmsABP 710, Infliximab
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mark C GenoveseDivision of Immunology and Rheumatology, Stanford University, 1000 Welch RD #203, Palo Alto, CA, USA. genovese@stanford.edu.
Juan Sanchez-BursonHospital Infanta Luisa, Calle San Jacinto 87, Sevilla, Spain.
MyungShin OhBiosimilars, Amgen, One Amgen Center Dr., Thousand Oaks, CA, USA.
Eva BalazsCsongrád Megyei dr. Bugyi István Kórház Mozgásszervi Rehabilitációs, Sima Ferenc u. 44-58, Csongrad, Hungary.
Jeffrey NealBluegrass Community Research, 330 Waller Avenue, Lexington, KY, USA.
Andrea EverdingHamburger Rheuma Forschungszentrum II, Hamburg, Germany.
Tomas HalaCCR Czech a.s., Trida miru 2800, 53002, Pardubice, Czech Republic.
Rafal WojciechowskiDepartment of Rheumatology and Connective Tissue Diseases, University Hospital No. 2, Bydgoszcz, Poland.
Gary FanjiangBiosimilars, Amgen, One Amgen Center Dr., Thousand Oaks, CA, USA.
Stanley CohenMetroplex Clinical Research, 8144 Walnut Hill Lane, Dallas, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundABP 710 is being developed as a biosimilar to infliximab reference product (RP). Analytical similarity and pharmacokinetic equivalence between the two have been previously demonstrated. Here we report results from a comparative clinical study that evaluated the efficacy and safety of ABP 710 relative to the RP in patients with rheumatoid arthritis (RA).

methodsIn this multicenter, randomized, double-blind, 50-week equivalence study, patients with moderate to severe active RA despite methotrexate received 3-mg/kg infusions of ABP 710 or RP at predetermined intervals based on initial randomization and then with re-randomization at week 22. The primary endpoint was response difference (RD) of ACR20 at week 22, with clinical equivalence evaluated based on 90% CI of - 15%, 15%. Secondary endpoints included Disease Activity Score 28-joint count C-reactive protein (DAS28-CRP), ACR20, ACR50, and ACR70 across time, as well as safety and immunogenicity assessments.

resultsA total of 558 patients were randomized for the initial treatment (ABP 710 n = 279; RP n = 279). The estimated RD of ACR20 at week 22 was 9.37% with 90% CI (2.67%, 15.96%). The lower bound was within the pre-specified criteria, thus confirming non-inferiority; the upper bound exceeded the pre-specified criteria by 0.96% such that superiority could not be ruled out statistically. In a post hoc analysis with adjustment for random imbalance in baseline factors, the CI of RD was narrowed (0.75%, 13.62%). Changes from baseline in DAS28-CRP as well as ACR20, ACR50, and ACR70 response rates across time and hybrid ACR evaluations were similar for the initial and initial/re-randomized treatment groups. Adverse events and incidence of anti-drug antibodies were similar between treatment groups.

conclusionsThese efficacy and safety results support similarity with no clinically meaningful differences between ABP 710 and infliximab RP. Although we were unable to statistically confirm non-superiority, post hoc analysis was supportive of non-superiority. DAS28-CRP, ACR20, ACR50, ACR70, and hybrid ACR evaluations over the entire study were consistently comparable as were safety and immunogenicity.

trial registrationClinicalTrials.gov. Identifier: NCT02937701. Registered August 30, 2016.

Indexed as

AdultAgedAntirheumatic AgentsArthritis, RheumatoidBiosimilar PharmaceuticalsC-Reactive ProteinDouble-Blind MethodFemaleHumansInfliximabMaleMiddle AgedTherapeutic EquivalencyTreatment OutcomeYoung AdultAntirheumatic AgentsBiosimilar PharmaceuticalsC-Reactive ProteinInfliximabABP 710BiosimilarInfliximabRheumatoid arthritis

Identifiers

PMID32216829
PMCPMC7098142

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.